Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Otto W Slater, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1427031947

Dr. Otto W Slater, DDS is an Oral Surgery in Maryville, Tennessee. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
26
Licensed in
TN
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

205 Southdowne Dr
Maryville, TN 37801-3747
Phone: (865) 381-8867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7722 (TN)

Record details

NPI number1427031947
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 29, 2005
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesDENTIST, MAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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